دورية أكاديمية
أعرض في EDS

Comparison of spinal versus general anesthesia on the perioperative blood glucose levels in patients undergoing lower abdominal and pelvic surgery: a prospective cohort study, Ethiopia.

التفاصيل البيبلوغرافية
العنوان: Comparison of spinal versus general anesthesia on the perioperative blood glucose levels in patients undergoing lower abdominal and pelvic surgery: a prospective cohort study, Ethiopia.
المؤلفون: Samuel H; Department of Anesthesia, College of Medicine and Health Sciences, Addis Ababa University, Addis Ababa., Girma B; Department of Anesthesia, College of Medicine and Health Sciences, Addis Ababa University, Addis Ababa., Negash M; Department of Anesthesia, College of Health Sciences, Selale University, Fiche., Muluneh E; Department of Anesthesia, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
المصدر: Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2023 Apr 03; Vol. 85 (4), pp. 849-855. Date of Electronic Publication: 2023 Apr 03 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: England NLM ID: 101616869 Publication Model: eCollection Cited Medium: Print ISSN: 2049-0801 (Print) Linking ISSN: 20490801 NLM ISO Abbreviation: Ann Med Surg (Lond) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2023- : [London] : Wolters Kluwer
Original Publication: London : Surgical Associates Ltd., 2012-
مستخلص: Surgery is linked with fear and stress that disrupt metabolic and neuroendocrine activities, which impair normal maintained glucose metabolism that leads to stress hyperglycaemia. This study aimed to compare the effect of general and spinal anaesthesia on perioperative blood glucose levels in patients undergoing lower abdominal and pelvic surgery.
Methods: This prospective observational cohort study recruits 70 adult patients who underwent lower abdominal and pelvic surgery under general and spinal anaesthesia; 35 in each group. A systematic random sampling technique was used to select study participants. Capillary blood glucose was measured at four perioperative times. An independent t -test, dependent t -test, and Manny-Whitney U test were used for statistical analysis, as appropriate. P values less than 0.05 were considered statistically significant.
Results: No statistically significant difference was observed in mean blood glucose levels at baseline and 5 min after induction of general anaesthesia and complete blocks of spinal anaesthesia. But at the end of surgery and 60 min after the end of surgery the mean blood glucose levels were statistically significantly higher in the general anaesthesia group compared with the spinal anaesthesia group ( P <0.05). And the blood glucose level was significantly increased from baseline compared with the different time intervals in the general anaesthesia group.
Conclusion: The mean blood glucose levels were lower in patients undergoing surgery under spinal anaesthesia compared with general anaesthesia. The authors recommend spinal over general anaesthesia whenever possible for patients undergoing lower abdominal and pelvic surgery.
Competing Interests: The authors have no conflicts of interest to declare.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.
(Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
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فهرسة مساهمة: Keywords: blood glucose level; general anaesthesia; lower abdominal surgery; pelvic surgery; spinal anaesthesia
تواريخ الأحداث: Date Created: 20230428 Latest Revision: 20230430
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC10129138
DOI: 10.1097/MS9.0000000000000464
PMID: 37113874
قاعدة البيانات: MEDLINE
الوصف
تدمد:2049-0801
DOI:10.1097/MS9.0000000000000464